| Entity Name: | PREMIER PHARMACY OF JACKSONVILLE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PREMIER PHARMACY OF JACKSONVILLE, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 09 Jun 1997 (28 years ago) |
| Document Number: | P97000051193 |
| FEI/EIN Number |
593451949
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 150 EAST 8TH STREET, JACKSONVILLE, FL, 32206 |
| Mail Address: | 150 EAST 8TH STREET, JACKSONVILLE, FL, 32206 |
| ZIP code: | 32206 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922139021 | 2007-03-08 | 2016-09-14 | 150 E 8TH ST, JACKSONVILLE, FL, 322063704, US | 150 E 8TH ST, JACKSONVILLE, FL, 322063704, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 904-355-5646 |
| Fax | 9043556263 |
Authorized person
| Name | JOHNNY BATEH |
| Role | PRESIDENT |
| Phone | 9043555646 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH15489 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 106170400 |
| State | FL |
| Issuer | PK |
| Number | 2010729 |
| Name | Role | Address |
|---|---|---|
| BATEH JOHNNY M | Director | 150 EAST 8TH STREET, JACKSONVILLE, FL, 32206 |
| BATEH DAVID M | Director | 150 EAST 8TH STREET, JACKSONVILLE, FL, 32206 |
| Bateh Bradley D | Director | 150 EAST 8TH STREET, JACKSONVILLE, FL, 32206 |
| BATEH JOHNNY M | Agent | 150 EAST 8TH STREET, JACKSONVILLE, FL, 32206 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2009-02-12 | 150 EAST 8TH STREET, JACKSONVILLE, FL 32206 | - |
| CHANGE OF MAILING ADDRESS | 2009-02-12 | 150 EAST 8TH STREET, JACKSONVILLE, FL 32206 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2009-02-12 | 150 EAST 8TH STREET, JACKSONVILLE, FL 32206 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-03-30 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-03-15 |
| ANNUAL REPORT | 2016-02-17 |
| ANNUAL REPORT | 2015-01-29 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2168837304 | 2020-04-29 | 0491 | PPP | 4740 UNIVERSITY BLVD N, JACKSONVILLE, FL, 32277-1000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
